- HomeSafe Alliance (Trenton, NJ)
- …Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and ... as needed to ensure prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any concerns or issues are addressed.… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Penn Medicine (Plainsboro, NJ)
- …living your life's work? Penn Medicine Princeton Health is hiring for a Director of Patient Safety. We are looking for someone recent/direct experience working with ... management. Experience in Performance Improvement/Quality will also be considered. The Director , Patient Safety reports to the Vice President and Chief Medical… more
- J&J Family of Companies (Skillman, NJ)
- Director RA Dietary Supplements - 2407024953W **Description** Kenvue is currently recruiting for: Director , Regulatory Affairs, Dietary Supplements This position ... reports to the Senior Director , Regulatory Affairs and is based at Skillman, NJ...Dietary Supplement industry to shape internal product development & claims , ingredient review and labeling processes such that they… more
- CVS Health (Trenton, NJ)
- …health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the Medical Management staff ... providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the US. The Medical… more
- Norstella (Trenton, NJ)
- Senior Director , RWD Analytics and Innovation Company: Citeline Location: Remote, United States Date Posted: Sep 13, 2024 Employment Type: Full Time Job ID: R-408 ... to patient. **The Role:** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics and Innovation to lead real-world data special… more
- Bedrock Care (Royersford, PA)
- Parkhouse Rehabilitation & Nursing Center is looking to add to our Dynamic Team! Director of Human Resources Salary: 58K - 62K Director of Human Resources Shift: ... off. + 6 paid holidays. + Career Advancement The Director of Human Resources is responsible for the overall...+ Responsible for filling out and maintain all unemployment claims + Prepares employee separation notices and related documentation,… more
- Evolent Health (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Director , Partner Operations** The Senior Director , Partner Operations serves as ... the go-to expert on client priorities. **Collaboration Opportunities** The Senior Director , Partner Operations role also collaborates with internal teams as… more
- CVS Health (Trenton, NJ)
- …and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to identify, develop, ... and interprets medical policies and procedures, including service authorization, claims review, discharge planning, and medical reviews performed through the… more
- Taiho Oncology (Princeton, NJ)
- Associate Director , Outcomes Research & Real World Evidence Princeton, NJ, USA Req #389 Wednesday, September 4, 2024 Looking for a chance to make a meaningful ... Value Proposition: Join our growing Medical Affair team in the role of Associate Director , Outcomes Research & RWE. Your expertise will play a pivotal role in… more
- J&J Family of Companies (Trenton, NJ)
- Director , Health Economics and Market Access - Wound Closure and Healing and Biosurgery - 2406204292W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Wound Closure & Healing… more
- Merck (North Wales, PA)
- **Job Description** ** Director , Global Compensation and Benefits** The Director , Global Compensation and Benefits will be a member of a legal group that provides ... Coordinate and assist with all aspects of ERISA benefits claims /appeals and related litigation + Work with internal benefit...review committees to respond to severance, savings and pension claims and appeals + Assist with all employee benefits… more
- Humana (Trenton, NJ)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews cases of ... and complexity ranging from moderate to substantial. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare… more
- J&J Family of Companies (Titusville, NJ)
- Director , Bladder Cancer, Solid Tumor, Oncology TA - 2406211554W **Description** Janssen Research & Development LLC (JRD), a Johnson & Johnson company, is recruiting ... for a Director , Bladder Cancer, Solid Tumor - Oncology Therapeutic Area...Familiarity with healthcare relevant datasets, such as EHR, insurance claims or registry data. + Prior experience working and… more
- Merck (North Wales, PA)
- **Job Description** Reports to the Director /Senior Director in the Office of Promotion and Advertising Review (OPAR) The Associate Director is responsible ... regulatory team meetings to ensure support for anticipated promotional messages and claims (aligned with marketing strategy) in clinical trial design and product… more
- Zurich NA (Trenton, NJ)
- VP, Territory Director , Commercial Surety, Central Region 113231 Zurich is currently looking for a VP, Territory Director for our Commercial Surety Group in the ... and oversight on strategic underwriting practices. The VP, Territory Director , Commercial Surety is responsible for: + Managing a...Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance… more
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Services Director - Casualty | Northeast Region **PRIMARY PURPOSE** : To determine ... rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability to… more
- Sedgwick (Philadelphia, PA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Business Development Director **PRIMARY PURPOSE** **:** To expand and enhance the company's top ... relationship building in the MGA/MGU or Group Captive or Insurance Carrier areas claims management or risk management area or equivalent combination of education and… more
- Cardinal Health (Trenton, NJ)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- RELX INC (Philadelphia, PA)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... and experienced professional to join our team as the Director of Data Content and Strategy. This critical role...Maintaining a deep understanding of relevant industry data, including claims , provider data, and patient insights. + Performing all… more